C9728 Insurance Policy Changes

HCPCS C9728 is officially defined as "Placement of interstitial device(s) for radiation therapy/surgery guidance (e.g., fiducial markers, dosimeter), for other than the following sites (any approach): abdomen, pelvis, prostate, retroperitoneum, thorax, single or multiple." HCPCS C9728 is referenced in 2 tracked payer policy changes from Aetna. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS C9728 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.